Carrie Ann Dziadosz, BS
Individual provider Active NPI Case Manager/Care Coordinator · Peru, IN
NPI 1073787263 · NPPES record last updated Apr 17, 2008
Key facts
- NPI
- 1073787263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 655 E Main St
Peru, IN 46970-2662 - Phone
- (765) 472-1931
- Fax
- (765) 472-1945
- NPI assigned
- Apr 17, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four County Comprehensive Mental Health Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
655 E Main St
Peru, IN 46970-2662
Mailing address
1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151
Other providers in Peru, IN
- Stephanie Duncan
- Dungarvin Indiana, LLC
- Andrew Dupre
- Jessica Marie Dyson
- Dziabis & Gifford Pathologist PC
- Lesley Joy Echelbarger
- Lavonne Eddy
- William Joseph Edwards II
- Sara E Eiler
- James Christopher Elkins III
All providers in Peru, IN · Case Manager/Care Coordinator in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.